Results 1 to 7 of 7

Dx code or ov code???

  1. #1
    Default Dx code or ov code???
    Exam Training Packages
    Does anybody know how this should be billed?

    Patient come in for a works clearance.. Patient was able to work in ceratin period of time. Our doctors never treated patient for this contion...

    Paient had a neck surgery.. Which we never treated...

    And he came in he need clearance... How do i code this??
    Brenda Amaro, CPC

  2. Default
    You're going to have to clarify your posting. It doesn't make sense

  3. #3
    Location
    North Carolina
    Posts
    3,126
    Default
    I think I understand what you're asking.

    Does the patient need to see the provider so that the provider can assess whether or not the patient is ready to go back to work? The surgeon who performed the surgery can't/won't do this?

    There are a few ways to do this but several questions come to mind. Is this a workers comp injury? Is the employer requesting this evaluation? If so, you could use a consultation code with modifier 32 (mandated service). If not, probably a regular E/M code. I would probably use a V code for the dx but it may help to provide a little more information.

  4. #4
    Default
    Rebecca-
    Yes this is what I needed. Thank you so much....
    Brenda Amaro, CPC

  5. Default
    Depending on the reason for the exam and what is documented you can also use code 99456. We use this when an employer is requesting the exam and wants an "outside" opinion.

    This is an extensive exam though, and typically when my providers perform this, I will see a 6 page note. They need to have the complete history of the injury, the exam, explanation of what the patient's capabilities are and on going treatment, if any, complete any required certificates/documents and then the report.

  6. #6
    Default
    Thank you very much Guru.
    Brenda Amaro, CPC

  7. #7
    Location
    International Member
    Posts
    215
    Default
    Hey,

    I think V68.09 is the appropriate code for this.

    Hope this helps!

    VJ.

Similar Threads

  1. To Code or Not to Code. Should Physicians Become AAPC Certified Professional Coders?
    By maaronson86 in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 02-17-2012, 07:44 AM
  2. Replies: 1
    Last Post: 07-07-2011, 10:03 AM
  3. Replies: 1
    Last Post: 03-07-2011, 11:55 AM
  4. Replies: 2
    Last Post: 04-25-2010, 10:50 PM
  5. Replies: 6
    Last Post: 12-01-2008, 11:09 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.